CONSULTANT JOB DESCRIPTION COMMUNITY GENERAL ADULT PSYCHIATRY BOURNEMOUTH WEST (TURBARY PARK SECTOR) 1. INTRODUCTION 1.1 This is a full-time General Adult Psychiatrist post, working in Bournemouth. It has arisen as a consequence of an internal transfer within our services. The post holder will work full time within the Bournemouth West Locality Community Mental Health Team, which provides comprehensive community based services to patients registered with general practitioners within Bournemouth. 2. GENERAL INFORMATION 2.1 Dorset HealthCare University Foundation Trust is a 220M organisation providing mental health and community services to 766,000 people living in Dorset. There are 5,500 staff providing complex services with an emphasis on holistic, integrated care that is delivered as near the patient s home as possible. 3. ORGANISATION OF CLINICAL SERVICES 3.1 The Trust s general adult mental health services are organised in the following way:- 3.11 Community Mental Health Teams. There are eight locality community mental health teams across the County: Poole, Bournemouth West, Bournemouth East, Christchurch & Southbourne, Wimborne & Purbeck, Weymouth & Portland, Dorchester & Bridport and North Dorset. These typically consist of two or three consultant-led sector teams, with rotas for urgent care and some specialist roles provided at a locality level.. 3.12 Home Treatment & Crisis Team. There are two 24 hour Crisis and Home Treatment Teams (CHTT), one for East Dorset based at St Ann s Hospital, Poole and one for West Dorset based at Forston Clinic, Dorchester. These teams are consultant led, acting as the gate-keeper for inpatient care and providing intensive community treatment. 3.13 Inpatient Care. There are inpatient wards for working age adults, including a PICU, at St Anns Hospital (59 beds) and smaller units at Forston Clinic (14 beds) and Westhaven Hospital, Weymouth (15 beds).service is planned such that all new admissions are admitted first to one of the acute admissions units. The Crisis/Home Treatment service functions as the gate-keeper for inpatient care. Patients are either discharged from the Acute Assessment Unit back to their CMHT or to the Home Treatment and Crisis Team or if their illness requires a longer period of care, they will move to one of the treatment wards. 3.14 Inpatient Rehabilitation. There is an inpatient rehabilitation and recovery service with inpatient beds on the Herbert Hospital site, Bournemouth and the Glendinning Unit, Dorchester. The rehabilitation service works closely with Assertive Outreach and Community Mental Health teams to facilitate discharge.. 1
3.15 Specialist Teams. There are specialist inpatient and community teams in place covering the subspecialties which include:- Early Intervention in Psychosis Service Assertive Outreach Teams Forensic Team Perinatal Service Eating Disorders Service Psychiatric Liaison Services at Royal Bournemouth Hospital, Poole Hospital and Dorset County Hospital, Dorchester) Community Adult Asperger s service 4. CLINICAL DUTIES CMHT Work 4.1 It is expected that the post holder will be one of three consultants working within the Bournemouth West Community Mental Health Team, working with an experienced fulltime consultant colleague, Dr John Stephens, and another newly appointed consultant. These three consultants will between them provide medical leadership to the multidisciplinary team, which provides comprehensive community mental health services to a locality population of 79,000 patients aged 18-65. 4.2 The Bournemouth West Community Mental Health Team consists of the Turbary Sector, which will be clinically led by the post holder and the other newly appointed consultant, and the Hahnemann Sector, which is clinically led by Dr Stephens. The two sectors join in duty and emergency rotas for medical and non-medical staff. 4.3 The post holder will be expected to provide assessment and ongoing care for patients within the Sector, along with advice and guidance for GPs and clinical leadership of the multi-professional team.. The Hahnemann and Turbary sectors receive a mean of 35 referrals per week throughout the year. The two sectors share an assessment sub team which acts as the single point of entry to the service. The Bournemouth West Locality Team and the Trust as a whole is seeking to move to practice that is far more driven by agreed pathways of care for the majority of patients. 4.4 The team base is currently at the Turbary Park Centre, where outpatient facilities are located. Some work takes place in community settings, such as primary care settings and the patients homes. This may include the need to be involved with Mental Health Act Assessments in the community. 4.5 There is a plan to co-locate the two sector teams at a single base. Long term this will be at the Shelley Road site (4-5years) although the team may co-locate prior to that at Hahnemann House. 4.6 The post-holder will be expected to work with colleagues in the multi-disciplinary community team to keep waiting lists within the Trust agreed limits. This has been within four weeks for routine referrals since April 2011. 4.7 The Bournemouth West CMHT has a duty system which involves non-medical staff. This is supported by a duty rota for section 12 doctors in the team, in which the post holder will participate. 4.8 The post-holder will have the option of participating in the senior out of hours on-call rota which is currently 1 in 20. This is a joint general adult, learning disability, child psychiatry and old age psychiatry senior on-call rota which is supported by Senior 2
Trainees and specialty doctors. There is also a non-resident junior doctor on-call. Oncall consultants provide advice and support to doctors on these other on call rotas and to nursing and social work colleagues. When necessary, it is expected that the on-call consultant will review patients personally. At weekends and on bank holidays there is a consultant-led inpatient review of new admissions to St Anns Hospital. 4.9 The post-holder will be part of cross cover arrangements for annual, study and emergency sick leave with the other two consultants in Bournemouth West CMHT. 5. CONTINUING PROFESSIONAL DEVELOPMENT 5.1 There will be one programmed activity (SPA) per week for Revalidation activity (CPD and audit). In addition, the consultant body holds two Peer review days per year. 5.2 The post-holder will participate in Peer Review Groups in line with Royal College of Psychiatrists recommendations to both review CPD development and consider clinical issues. 5.3 The post-holder will be expected to contribute to and attend the Trust Journal Clubs and Quality Improvement Meetings. 5.4 The post-holder will be expected to maintain Section 12(2) and be an Approved Clinician. 5.5 The post-holder will be expected to comply with continuing professional development and revalidation requirements set by the GMC and the Royal College of Psychiatrists and remain in good standing for CPD with the Royal College of Psychiatrists. 5.6 The Trust strongly supports consultant involvement in research and development. There is a consultant with a lead role for research, Dr Paul Walters and excellent links with Bournemouth University. The post-holder will be given time and support, if they wish, to develop their own research interests or become a Principal Investigator on NIHR portfolio studies.. 5.7 The post-holder will be encouraged and helped to identify a mentor and given time for this activity. 6. SUPPORTING CLINICAL STAFF 6.1 The Trust supports the training of doctors. Within the Bournemouth West Locality CMHT there a ST4-6 doctor who works with Dr Stephens and a GP trainee, whose clinical supervision will be provided by the post holder or the other newly appointed consultant in the Turbary Sector. 6.2 The post holder will provide support and advice to other members of the multiprofessional team. 6.3 The Bournemouth West Locality Community Mental Health Team (Turbary & Hahnemann sectors) comprises the following:- Integrated Manager 1.0 WTE (also responsible for Old Age) Team Leader 1.0 WTE Community Mental Health Nurses 8.5 WTE (from Sept 2015) Community Occupational Therapist 1.6 WTE Psychologist 1.1 WTE Social Workers 2.3 WTE 3
Senior Practitioner Assistants/Care Managers Carer s Officer 1.0 WTE 2.2 WTE 0.6 WTE There is currently one nurse prescriber in the team working predominantly in the Hahnemann sector. There are plans to develop additional nurse prescriber roles for the locality. 7. MANAGEMENT STRUCTURES 7.1 The post-holders will be a member of the Medical Advisory Committee which is the professional group for career grade doctors within the Trust. This committee meets bimonthly and provides medical advice and support to management. 7.2 The post-holders will be encouraged to attend the Adult Psychiatrists Meeting that also meets bi-monthly and contributes to quality and service development within the Trust. 7.3 There is a strong medical involvement in management led by the Medical Director, Dr Nick Kosky,supported by the Deputy Medical Director Dr Ian Rodin and Clinical Leads in Community General Adult Psychiatry, Acute Mental Health care, Old Age Psychiatry, Community services, Frail Elderly and Child & Adolescent Psychiatry. There may be changes to these medical arrangements, so that they are better aligned with a recently reconfigured Trust management structure. 7.4 The Trust has close relationships with Dorset Clinical Commissioning Group and the three Local Authorities to which we relate (Borough of Bournemouth, Borough of Poole and Dorset County). 7.5 The post-holder will be encouraged and supported in developing the appropriate management and leadership skills to fully participate in service developments. 8. CLINICAL GOVERNANCE 8.1 Strong clinical governance arrangements are in place across the organisation involving all clinical disciplines. 8.2 It is expected that the post-holder will play a full part in clinical governance arrangements which will include working within their team to ensure high quality standards for patient care are set and monitored and the personal participation in audit. 8.3 There is a system of annual appraisal of consultants linked to the requirement for Revalidation. All consultants receive an annual appraisal in line with Department of Health Guidelines from which a personal development plan will be produced. 9. TEACHING AND TRAINING 9.1 It will be expected that the post-holder will provide training and support to their junior doctors in line with Royal College and Deanery standards. 9.2 The Trust has long, well established links with Southampton University School of Medicine and Bournemouth University. Medical students are regularly attached to the general adult psychiatric teams and the post holder will be expected to contribute to their training. 10. SECRETARIAL SUPPORT 4
10.1 The post-holder will share a full time secretary with the other consultant in the Turbary Sector. There will also be a team assistant for the CMHT and adequate administrative time available to facilitate the smooth running of outpatient clinics and timely written communication with clinicians, referrers and patients. The post-holder will have a designated office at the Turbary Park Centre. 11. POSTGRADUATE FACILITIES 11.1 There are Post-graduate Medical Centres at Poole and Bournemouth Hospitals. 12. TERMS AND CONDITIONS 12.1 The contract will be based on the Terms and Conditions of Service 2003 agreed between the BMA and the Department of Health for consultants in England. The Trust will also implement the Code of Conduct for Private Practice and the Consultant Job Planning Standards agreed in September 2003. 12.2 The post-holder must be Mental Health Act Section 12 approved at appointment and be registered with the General Medical Council. The applicant must be eligible for inclusion on the Specialist Register in Psychiatry. 12.3 As a Consultant the post-holder is professionally responsible for their own clinical actions within GMC and Royal College of Psychiatrists guidelines and codes of practice and are managerially accountable to the Chief Executive. 13. JOB PLAN 13.1 Job plans will be drawn up in agreement with the successful candidate and will be reviewed each year. 13.2 The components of a job plan are likely to include 8 programmed activities for direct patient care (DPC) and 2 programmed activities for supporting professional activities (SPA) as shown below:- Outpatient clinics/community visits Community and emergency work Community Mental Health Team Meeting Training, teaching & Supervision CPD and audit (revalidation) Service development, management On-call (optional) 5.0 programmed activities (DPC) 2.5 programmed activities (DPC) 0.5 programmed activity (DPC) 0.5 programmed activity (SPA) 1 programmed activity (SPA) 0.5 programmed activities (SPA) 3% + 0.25 programmed (DPC) 5
A provisional timetable is given below: a.m. Monday Tuesday Wednesday Thursday Friday OPC OPC OPC CPD and Revalidation OPC p.m. 1-3 Admin and management 3-5 Emergency and Community 1-3 Admin and management 3-5 Emergency and Community 1-3 CMHT Meeting 3-5 Supervision of medical staff OPC Emergency and Community 13.3 The post-holder will be line managed by the Lead Clinician for Community Adult Mental Health who will keep the job plan under review. 14. COMMENCEMENT OF DUTIES 14.1 The post is available from 1 st June 2017. 14.2 The post is subject to an Exemption Order under the provisions of Section 4(2) of the Rehabilitation of Offenders Act. 15. INFORMAL DISCUSSIONS / VISITS 15.1 Candidates are encouraged to discuss the position with Dr Nick Kosky, Medical Director (01202 277000), Dr John Stephens, Lead Consultant Adult Mental Health (01202 584441), Mr Nathan Hanney, Service Manager for Bournemouth West CMHT (01202 584440). Visits can be arranged via Michelle Tamplin, Medical HR Team Leader, Medical Personnel Manager (01202 277173). Please note the Trust will reimburse expenses for up to two pre-interview visits in respect of shortlisted candidates. 6